1. Current medical history: including the following five parts: 1, 1) According to the chief complaint and related differential inquiry, 2) Etiology and inducement, 3) Characteristics of main symptoms, 4) Accompanying symptoms, that is, general state (diet, sleep, defecation and weight changes since the onset) 2) After diagnosis and treatment. What tests have you taken? 2) What treatments have you done and what are the effects? Second, past history (related medical history) 1, related medical history: smoking and drinking, similar attacks and family history. 2, drug allergy history, surgery history (it must be mentioned that this is included in the annual scoring standard) 3, consultation must be organized, think clearly before writing, don't add it later, so you will lose 4 points. Just ask one question around the subject. For example, 24-year-old women are more likely to cough up blood and tuberculosis, while 45-year-old men are considered to be lung cancer. They have different collection tendencies and still rely on knowledge accumulation. In short, if you follow the above method when collecting, most of the scores have been obtained. It should be noted that whether the diagnosis result is correct or not is not the basis for scoring. As long as there is no shortage of items and contents collected. First, fever 1. Etiology and inducement: Is there a cold or trauma? 2. Main symptoms: heat? Course of disease? Natural (continuous or intermittent)? The rule of fever (lingering fever or fever)? Duration? Aggravating or mitigating factors? 3. Accompanying symptoms: Are there chills, conjunctival congestion, lymphadenopathy and hepatosplenomegaly? Bleeding? Coma? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: 7. History of drug allergy and surgery * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *? When does the pain appear? Location? Range? Natural? Degree? Duration? Aggravating or relieving factors (relationship with cough, sneezing and body position)? 3. Accompanying symptoms: fever, vomiting, dizziness, anxiety, insomnia and vision change. 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset? What tests and treatments have you had? Is the treatment effective? 6. Related medical history: 7. History of drug allergy and surgery * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *? Chest pain? Range? Natural? (Is there any radiation pain? ) degrees? Duration? Factors affecting pain (physical activity? Nervous? ) and breathing, coughing, posture, swallowing? 3. Accompanying symptoms: Are there any fever, cough, expectoration, hemoptysis, dysphagia, dyspnea and shock? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? Can oral nitroglycerin relieve it? 6. History of related diseases: Have you ever had a similar attack in the past? Do you have a history of hypertension, hyperlipidemia, diabetes, heart disease, tuberculosis, alcohol and tobacco hobbies? 7. History of drug allergy and surgery * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. Location? Natural? Range? Time of occurrence (before meals? After dinner? ) and eating? Relationship with posture? 3. Accompanying symptoms: Do you have diarrhea, constipation, nausea and vomiting, acid reflux and hematuria? Is there yellow dye on the skin and sclera? Do you have menstrual cramps? 4. General state: diet, sleep, defecation, weight change and menstruation since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar attack history? Have a history of unclean food, overeating, abdomen, stones, surgery, gynecology, etc? 7. History of drug allergy and surgery * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. ) nature (is it wandering? Do you have redness, swelling, heat pain and joint deformity? ) degrees? Relationship with weather and activities? 3. Accompanying symptoms: Are there any fever, rash, muscle pain, muscle weakness, muscle atrophy, lymphadenopathy, hepatosplenomegaly? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? What about the treatment of non-steroidal antipyretics, hormones and antibiotics? Is the treatment effective? 6. Related medical history: Have you ever had a similar attack history? Do you have a history of joints, joint injuries, tuberculosis, rheumatism and suspected infectious diseases? 7. History of drug allergy and joint surgery? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * How fast is it developing? How's it going? Degree? Attribute (droop? Not concave? ) Do you have facial edema? When will it get worse? The relationship between edema and menstrual period? 3. Accompanying symptoms: Do you have hypertension, hematuria or proteinuria? Do you have chest tightness, breathlessness, cyanosis and difficulty breathing? Do you have yellow skin, loss of appetite, aversion to oil and abdominal distension? Is there long-term diarrhea, emaciation and weight loss? Have you taken any medicine recently? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar attack history? Do you have a history of hypertension, liver disease, heart, kidney and malnutrition? 7. History of drug allergy and surgery * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. Natural? (Is it inhaling? Exhale? Still having trouble breathing? ) mitigating factors? Relationship with posture and time? 3. Accompanying symptoms: Do you have fever, chest pain, cough and expectoration? ), hemoptysis (cough blood volume and blood characteristics)? Do you have paroxysmal dyspnea and sit breathing at night? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you have a history of seasonal allergies? Hypertension, heart disease, bronchitis, lung disease? Occupational history (dust or irritating gas exposure history)? 7. History of drug allergy and other allergies? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Did you take angiotensin converting enzyme? 2, the main symptoms: cough nature (dry? Wet? ) degrees? Time and rhythm (aggravated when getting up or changing posture in the morning? ) The timbre of a cough? What is the color, character, smell and amount of phlegm? Relationship between expectoration and body position? 3. Accompanying symptoms: Do you have fever, chest pain, dyspnea and hemoptysis? When you suspect bronchiectasis, you should pay attention to whether there are clubbed fingers. 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Have you ever had a history of whooping cough, measles, bronchopneumonia, bronchial asthma, tuberculosis and smoking? 7, drug allergy history * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. ) the amount of hemoptysis? What is the color and nature of blood? 3. Accompanying symptoms: Do you have fever, night sweats, chest pain, dyspnea, cough and purulent sputum? Is there any bleeding on the skin and mucous membrane? Is it accompanied by jaundice? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you have whooping cough, measles, heart and lung diseases and blood diseases? Do you have a history of tuberculosis and contact with tuberculosis patients? Personal work history and smoking history? 7, drug allergy history * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. Intermittent? Nausea and vomiting? What is the degree of vomiting? Frequency? The amount, color, smell and character of vomit? Precursor symptoms of vomiting (nausea before vomiting? No nausea, sudden vomiting? ) The relationship between vomiting and eating? 3. Accompanying symptoms: Do you have diarrhea, bloating, fever, chills, loss of appetite, indigestion, emaciation and fatigue? Are there yellow spots on the skin and sclera? Do you have a headache, dizziness or disturbance of consciousness? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6 Related medical history: Is there any similar medical history in the past? Have you ever had a history of unclean food or contact with infectious diseases? Do you have digestive diseases? Do you have a history of hypertension and head injury? Any history of abdominal surgery? Do you have liver and kidney diseases and neurosis? Was your menstruation normal last time (pay attention to early pregnancy)? 7. Do you have a history of medication and drug allergy? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 2. Main symptoms: hematemesis course (initial? Recurrence? ) Start time, number of attacks and duration? The amount, color and character of hematemesis? 3. Accompanying symptoms: Do you have dizziness, palpitation, sweating, thirst and decreased urine output? Understand the effect of blood loss on the whole body? ) Do you have fever, abdominal pain, vomiting, black stool and acid reflux? Are there any yellow stains on the skin and sclera? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you have a history of eating coarse food or foreign objects? Do you have severe vomiting? Do you suffer from peptic ulcer, liver cirrhosis, esophageal variceal bleeding, hemorrhagic gastritis, reflux esophagitis and gastric cancer? Is there any blood disease? Do you have a history of drinking alcohol and taking non-steroidal antipyretic and analgesic drugs? 7. Do you have a history of drug allergy and digestive tract surgery? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Intermittent? ) duration of each time? How many times do you have blood in your stool every day? Fecal blood volume Bloody? Relationship with stool (mixed? Do not mix? ) bloody stool form (discharged with stool? Drop out of school after defecation? Jeter? There's blood on the tissue? ) pay attention to distinguish it from the black stool that appears after ingesting animal blood products, iron agents and lotion. 3. Accompanying symptoms: whether there are hematemesis, abdominal pain, change of stool habits, abdominal mass, loss of appetite, fatigue, emaciation, fever, bleeding tendency all over the body, yellowing of skin and sclera, anemia and shock. 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Any history of severe vomiting? Do you suffer from digestive system diseases, anorectal diseases (anal fistula, internal hemorrhoids, rectal polyps), blood system diseases and cardiovascular diseases? Have you ever ingested animal blood products, iron and lotion? Do you have a history of drinking alcohol and taking non-steroidal antipyretic and analgesic drugs or anticoagulants? 7. Do you have a history of drug allergy and gastrointestinal surgery? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *? Nature (persistence? Intermittent? Recurrence? ) How many times and amount of stool do you have every day? What are the characteristics and colors of feces? 3. Accompanying symptoms: Are there any symptoms such as chills, high fever, abdominal pain, rectal irritation, nausea and vomiting, abdominal distension and dehydration? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Is there a history of unclean food? Have you had any contact with diarrhea patients recently? Do you have digestive diseases? Have you ever taken laxatives? Epidemiological history? 7. Do you have a history of drug allergy and gastrointestinal surgery? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * The degree and color of yellow staining of skin and sclera. Is it accompanied by mud and feces? With strong tea color or soy sauce color urine? Pay attention to distinguish it from yellow skin dyeing caused by carrots, oranges or drugs. 3. Accompanying symptoms: Are you accompanied by chills, high fever, abdominal pain, abdominal distension, loss of appetite, nausea and vomiting? Have you lost weight? Do you have spider nevus or subcutaneous hemorrhage? 4. General state: changes in weight, sleep and defecation since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you have any contact history with hepatitis or hepatitis patients? Do you have a history of hepatobiliary diseases and digestive system diseases? 7, drug allergy history * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. Changes in appetite (hyperactivity, normal, decreased? 3. Accompanying symptoms: Is it accompanied by fever (low fever), fear of hyperhidrosis and night sweats? Is defecation frequency normal? Do you have nausea, vomiting, abdominal pain and diarrhea? 4. General state: Have you had normal weight and sleep since the onset? 5. Diagnosis and treatment process: Have you gone to the hospital for examination since the onset, and what examinations and treatments have you made? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you have chronic gastroenteritis, hepatobiliary and pancreatic diseases? Are there chronic consumptive diseases such as tuberculosis and tumor? 7. Have you ever taken diet pills? Any history of drug allergy? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Duration? Mitigating factors? Progress? Relationship with physical activity? 3. Accompanying symptoms: Are you accompanied by precordial pain and discomfort, dyspnea, cough and expectoration, headache and dizziness, fever, infection, hyperhidrosis, emaciation and blood loss? 4. General state: changes in diet, sleep, defecation and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you suffer from hypertension, various heart diseases, chronic respiratory diseases, anemia, hyperthyroidism and neurosis? Do you have a hobby of alcohol and tobacco? 7, drug allergy history * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. 3. Accompanying symptoms: Is it accompanied by fever, elevated blood pressure, meningeal irritation, severe headache and loss of consciousness? 4, general state: 5, diagnosis and treatment process: have you been to the hospital for examination since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Any history of brain injury? Do you have a history of brain diseases, infectious diseases and cardiovascular diseases? 7, drug allergy history * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. Any prodromal symptoms before coma? The extent of the disturbance of consciousness? Process (which is more important? Volatility? Woke up in a coma again? ) How about voluntary movement and muscle tension of limbs? 3. Accompanying symptoms: Are you accompanied by fever, headache, vomiting, hematemesis, jaundice, edema, blood pressure changes, convulsions, abnormal urination, palpitation, shortness of breath, etc? And pay attention to the order of these symptoms and disturbance of consciousness. 4, general state: 5, diagnosis and treatment process: have you been to the hospital for examination since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related diseases: Have you ever had a similar medical history? Have chronic diseases such as heart disease, liver disease, lung disease and kidney disease? Do you have diabetes, high blood pressure and brain diseases? 7. Do you have a history of drug allergy? Do you have a hobby of alcohol and tobacco? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *? 3. Accompanying symptoms: Is it accompanied by edema, low back pain, dysuria, diarrhea and hypertension? 4. General state: changes in diet, sleep and weight since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset, and what examinations and treatments have you done? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you have a history of liver and kidney diseases, urinary system diseases, hypertension and pelvic surgery? 7, drug allergy history * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. How many times do you pee at night? How much do you pee at night? 3. Accompanying symptoms: Is it accompanied by fever, thirst, overeating and weight loss? 4. General state: diet, sleep and defecation since the onset? 5. Diagnosis and treatment process: Have you gone to the hospital for examination since the onset, and what examinations and treatments have you made? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Any history of tuberculosis, tumor, liver and kidney? Do you have diabetes? 7. Have you taken diuretics recently? Any history of drug allergy? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 3. Accompanying symptoms: Is it accompanied by low back pain, difficulty urinating, or not? 4. General state: diet, sleep and defecation since the onset? 5. Diagnosis and treatment process: Have you gone to the hospital for examination since the onset, and what examinations and treatments have you made? Is the treatment effective? 6. Related medical history: Have you ever had a similar medical history? Do you have a history of urinary calculi, urinary tract infections and hypertension? 7, drug allergy history * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. 2. Main symptoms and characteristics: the urgency of onset and the speed of progress? Course of disease? Blood pressure, consciousness, skin temperature, pulse rate and urine output. 3. Accompanying symptoms: Do you have dyspnea, chest tightness, palpitation, precordial pain, high fever, chills, bleeding tendency, jaundice, diarrhea and vomiting? 4. General symptoms: diet, sleep, weight and defecation since the onset. 5. Diagnosis and treatment: Have you been to the hospital since the onset? What tests and treatments have you had? Is the treatment effective? 6. Relevant medical history: Is there any history of bleeding, anemia or external injury? Do you have a history of hypertension, cardiovascular diseases and chronic diseases? Any history of acute infection and infectious diseases? Have a history of diabetes without sugar? Is there a history of blood transfusion and special medication? 7. Do you have a history of drug allergy?